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Thread: Pain in right arm

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    Default Pain in right arm

    After 2 years of tests doc finially said it's Systemic Lupus. After reading about all the systems everything seems to add up. I didn't realize there were so many others that have this disabling disease. I was to the point that I could hardly walk before the dr put me on steroids. They help alot but still having lots of pain in my right arm to the point where it keeps me awake at night. Sometimes the pain radiates all the way to my fingers. Heating pad sometimes helps, but not always. Dr. won't give me pain meds because he doesn't want me to get hooked. Does anyonehave any suggestions for the pain?

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    When you say he won't give you pain meds, do you mean any pain med? Have you tried tramadol yet? Tramadol is a synthetic analgesic that is not crazy powerful and addictive like the big narcotics like morphine, percocet, vicodin, etc. Also, if you take it as directed and as needed, you're unlikely to become addicted. For example, I take 50mg of tramadol as needed for pain in my legs. I don't end up taking it every day, but when I do need it, it really takes the edge off the pain.

    If it hasn't come up with your doctor before, I'd ask about tramadol.

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    Quote Originally Posted by Derrie View Post
    When you say he won't give you pain meds, do you mean any pain med? Have you tried tramadol yet? Tramadol is a synthetic analgesic that is not crazy powerful and addictive like the big narcotics like morphine, percocet, vicodin, etc. Also, if you take it as directed and as needed, you're unlikely to become addicted. For example, I take 50mg of tramadol as needed for pain in my legs. I don't end up taking it every day, but when I do need it, it really takes the edge off the pain.

    If it hasn't come up with your doctor before, I'd ask about tramadol.

    Tell my doctor that I was given it during a really bad flare up and now she won't refill the prescription even though 1 bottle lasted me months. She said "you're young and its addictive" and wont give it to me even though its the only thing that has ever touched my pain when I needed it. Now I'm stuck with OTC pills.

    Welcome to WHL by the way. Sorry I don't have better advice :/ try talking to your doctor about it again.
    "A bad cold wouldn't be so annoying if it weren't for the advice of our friends."~ Kin Hubbard

    Diagnosed: SLE, Raynauds, Interstitial Lung Disease, GERD, Myositis, Vasculitis, Fibromyalgia, Possible Sjogrens.
    Medications: 400mg Plaquenil, 2000mg Cellcept, 60mg Nifedipine, Nitroglycerin Patch, 20mg Prilosec, Trazadone, 8mg Medrol, 81mg Asprin.

    My old profile on here http://forum.wehavelupus.com/member.php?22042-ritzbit

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    Whoa, Ritz, your doc wouldn't give you any more tramadol? I mean, like any drug, it can be abused, but it's considered to be one of the least addictive analgesics and a first-line, low-risk pain medication. It's not like the opiates that are really prone to addiction and abuse. It's not even a schedule II drug! What does she think you're going to get addicted to? Not being in pain?

    My internist is always happy to refill my tramadol prescription, no questions asked. He knows I have pretty constant leg pain and that I take the tramadol once or twice a day only when the pain breaks through over the naproxen I take daily.

    Which of your doctors is refusing to prescribe the tramadol? Maybe if you talked to one of your other doctors about the problem, the other doctor could talk to the doc who is refusing to prescribe about giving you a small prescription for breakthrough pain days. I would try again on the tramadol. It is really a good option for moderate pain-- I love it because I can take it at work and not get dopey like the narcotics will do to you.

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    rob is offline Super Moderator Super ModeratorEmperor of the World
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    Hi Artistladie. Welcome to WHL,

    There are many different meds that can treat specific types of pain that are effective, and have little or no potential for being addictive. The pain in your arm sounds very similar to the pain I have that is caused by Peripheral Neuropathy, which is a typical problem for people with Systemic Lupus. For this I take a drug called Neurontin, and it works quite well. It has no significant potential for being addictive. There are also OTC meds that also have prescription equivalents like the NSAID Naproxen (AKA Aleve) that work well for the short term reduction of inflammation. Naproxen/Aleve has no addictive potential at all.

    Perhaps you could sit down with your Dr./Specialist and see if your specific types of pain and the specific probable cause could be counteracted by one of these or some other specific meds. Derrie mentioned Tramadol, which I have never taken, however I have read quite a bit about it in anticipation of possibly having to take it in the future. Although Tramadol does have some potential for addiction, because of it's unique pharmacology it is considered to have far less of this potential when compared to opiates such as Morphine, and it comes in a time-release formulation that works well for people with chronic pain.

    Addiction to prescription pain meds is definitely something to be very concerned about, but if you are in constant pain that causes you to lose sleep, I'd say that is a far more serious threat to your health than the theoretical possibility that you might someday become addicted to pain meds. Lupus feeds on stress and lack of rest/sleep. The stress and lack of sleep from chronic pain can actually cause the flare you are in to become even worse, and last even longer than it already has. It's self-perpetuating.

    You need pain relief. Talk to your Dr. If your Dr. won't help, then get a second opinion.

    Rob
    Last edited by rob; 06-29-2012 at 07:39 PM.

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    rob is offline Super Moderator Super ModeratorEmperor of the World
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    Quote Originally Posted by Derrie View Post
    Whoa, Ritz, your doc wouldn't give you any more tramadol? I mean, like any drug, it can be abused, but it's considered to be one of the least addictive analgesics and a first-line, low-risk pain medication. It's not like the opiates that are really prone to addiction and abuse. It's not even a schedule II drug! (bolding mine)
    You are 100% correct! (when are you not?)

    Tramadol (Ultram) has not been scheduled by the US DEA, and does not fall under the Controlled Substance Act. The potential for addiction/abuse is very low for this med.

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    Thank you so much for the info. So far he has only told me to take tylenol for pain and the antinflamatory methotrexate 2.5 mg 3 tabs once a week. I'm going to try the Alieve if that doesn't help I will call him!!

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    Aleve = naproxen, and I take that almost every day and find it very helpful for my leg pain. Let us know how it goes for you!

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    Hey there, so sorry you are dealing with this issue! I have all kinds of painkiller meds in my medicine cabinet but I hate the way they make me feel and am scared to mix meds so sometimes I would rather suffer than take a chance on mixing meds....as you can probably tell that before I got sick I never took anything stronger than OTC migraine meds! NOW is a different story, although im still a chicken! You should ask about Low Dose Naltrexone therapy, it did wonders for my pain, I also take Lyrica similar to the other person that takes neurontin, great for nerve pain, and my final trick is a Brutrans patch @ 10mcg/hr. I cant tolerate steroids, immunosuppresants, or even a full standard dose of Plaq and I cant function on all the narcotics so my rheumy has to get very creative with my disease/pain therapies......good luck!


    Hugs,
    LenaT14

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    hi welcome to whl family i also take tramadol i find it most affective like any pain medication it is important you only take when needed i think if some of these doctors actually had our pain they would understand why we need relief.

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